Mcdaniel, Jeanette R

Mcdaniel, Jeanette R is an individual health care provider with primary practice located at 1829 Reisterstown Road Suite 205, Baltimore MD 21208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcdaniel, Jeanette R can be contacted via phone (410) 602-9850.

Contact Information

Primary practice address
1829 Reisterstown Road Suite 205 Baltimore MD 21208
Phone: (410) 602-9850
Fax: (410) 602-9857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0034935 Maryland

Profile Details

NPI number 1528035607
LBN Legal business name Mcdaniel, Jeanette R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Sep 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528035607 NPPES
Maryland MEDICAID 48402160

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